The disease is the same regardless of age, but children still need unique care.
SAVANNAH, GEORGIA — At a pathophysiological level, juvenile myasthenia gravis seems to be identical to the adult form, neuromuscular specialists learned. But there are still important differences between children and their elders that affect pediatric care.
“This isn’t a diagnostic conundrum. She has autoimmune myasthenia gravis with ocular manifestations,” Ginsberg said. “For someone like this, whether it’s an adult or a child, many people would start symptomatic treatment with an acetylcholinesterase inhibitor like pyridostigmine.” Glucocorticoids can play a larger role in treatment at this stage, and the patient was initially on prednisone. But there are reasons for caution, including effects on bone growth and interference with live vaccines.
Muscular Atrophies Children Child Childhood Pediatrics Kids Myasthenia Gravis Toxicology Toxicity Poisoning Toxins Biologic Therapy Biologics Patient Safety Adverse Effects Side Effects Eye Vaccine Vaccines Antineoplastic Drug Anti-Cancer Agents Erlotinib Gefitinib Imatinib Rituximab Su11248 Sunitinib Trastuzumab Glucocorticosteroids Glucocorticoid Therapy
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